MDC 1 Exam 2 Questions And Correct Answers
(Verified Answers) Plus Rationales Rasmussen
College 2025
1. What is the primary goal of holistic nursing care?
To treat the whole person including physical, emotional, social, and
spiritual needs.
Holistic nursing focuses on treating all aspects of a person, not just the
physical symptoms, to promote overall well-being.
2. Which phase of the nursing process involves setting measurable and
achievable goals?
Planning
Planning is where nurses establish realistic goals and outcomes based on
assessment data.
3. A patient states, “I feel sad and overwhelmed.” What is the best nursing
response?
“Can you tell me more about what is making you feel this way?”
Encouraging the patient to express feelings promotes therapeutic
communication and understanding.
4. Which nursing action is an example of primary prevention?
Administering immunizations to children
Primary prevention aims to prevent disease before it occurs, such as
vaccines.
,5. What is the most effective way to establish trust with a new patient?
Maintain confidentiality and provide consistent care.
Trust builds when patients feel their information is private and care is
reliable.
6. During assessment, the nurse notes the patient’s respiration rate is 28
breaths per minute. What is this finding called?
Tachypnea
Tachypnea is an abnormally fast respiratory rate, generally over 20
breaths/min in adults.
7. What is the purpose of a nursing diagnosis?
To identify actual or potential health problems that nurses can address.
Nursing diagnoses focus on patient needs that nursing interventions can
influence.
8. When prioritizing care, which patient condition should be addressed first?
Airway obstruction
Airway issues take precedence over other problems as they threaten life
immediately.
9. Which of the following is an example of a subjective data?
Patient reports feeling nauseous.
Subjective data come from patient’s personal experience and cannot be
measured directly.
10.What does the acronym SBAR stand for in communication?
Situation, Background, Assessment, Recommendation
SBAR is a structured method for effective clinical communication.
, 11.What is a key characteristic of a therapeutic nurse-patient relationship?
Establishing professional boundaries
Maintaining clear boundaries supports a professional, safe, and effective
relationship.
12.Which intervention is most appropriate for a patient experiencing acute
pain?
Assess pain level and administer prescribed analgesics promptly.
Pain should be assessed frequently and managed quickly to promote
comfort and healing.
13.Which vital sign is considered the most reliable indicator of circulatory
status?
Blood pressure
Blood pressure reflects the force of blood against vessel walls and overall
circulation effectiveness.
14.What should a nurse do if a patient refuses a medication?
Respect the patient’s decision and document refusal.
Patient autonomy must be respected; refusal should be noted and provider
informed if necessary.
15.How can the nurse best promote patient safety during medication
administration?
Use the “Five Rights” of medication administration.
The Five Rights ensure correct patient, drug, dose, route, and time,
minimizing errors.